| NPI | 1710659453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS FIELDS Executive Director 601-329-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| 133V00000X Dietitian, Registered | |
| 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management | |
| 163WD0400X Registered Nurse Diabetes Educator | |
| 163WG0000X Registered Nurse General Practice | |
| 163WH0200X Registered Nurse Home Health | |
| 171400000X | |
| 174H00000X Health Educator | |
| 207Q00000X Family Medicine | |
| 224Y00000X Clinical Exercise Physiologist | |
| 225100000X Physical Therapist | |
| 251E00000X Home Health | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2022-07-06 |